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Summer Camp Waiver Form Template

Ensure Safety and Peace of Mind for Your Summer Camp

You're busy planning a fun-filled summer camp and need a reliable way to protect your camp and participants. This template helps camp organizers and parents easily manage liability concerns, ensuring safer activities for all involved. With our summer camp waiver form, you can streamline parental consent, simplify liability management, and enhance your camp's safety protocols, all while staying compliant with WCAG-aligned standards. Experience the ease of using this live template for your camp today.

Use this Template (FREE) Live Preview
Camper full name
Date of birth
Parent/guardian full name
Email
Primary phone
Relationship to camper
Mother
Father
Legal guardian
Other
Please Specify:
Emergency contact full name
Relationship to camper (emergency contact)
Grandparent
Aunt/Uncle
Sibling
Family friend
Neighbor
Other
Please Specify:
Emergency contact phone
Is this person authorized to pick up the camper?
Yes
No
Allergies (food, drug, environmental)
Medications (name and dosage)
Medical conditions or special needs
Primary care physician name
Insurance provider and policy number
Permission to administer basic first aid and over-the-counter remedies as needed
Yes
No
Permission to apply sunscreen and insect repellent as needed
Yes
No
Swimming ability
Non-swimmer
Beginner
Intermediate
Advanced
Not sure
Not applicable
Names and phone numbers of persons authorized to pick up the camper
I authorize the camp to obtain emergency medical care for my child if necessary
Yes
No
I release the camp, its staff, and volunteers from liability for ordinary negligence
Yes
No
I grant permission for my child to be transported for off-site activities
Yes
No
I grant permission for photos or videos of my child to be used in camp materials
Yes
No
Typed full name as signature
Signature date
I am the parent or legal guardian of the minor named above
True
False
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Paper art illustration depicting a summer camp waiver form with colorful elements related to camping activities.

When to use this form

Use this template before any youth day camp, overnight session, or sports clinic. It protects your organization and sets clear expectations for families. Ask parents to sign when activities include contact sports, swimming, climbing, canoeing, field trips, or use of rental equipment. Collect medical details, emergency contacts, permissions for treatment, media consent, and pickup authorization in one place. Directors gain cleaner records and faster check-in; parents know what risks and rules apply. For broader programs, you can pair it with the Camp liability waiver form. Hosting a one-day tournament or off-site trip? The Event waiver form covers those single-event risks.

Must Ask Summer Camp Waiver Questions

  1. What is the participant's full name and date of birth?

    This identifies the child and confirms age for activity eligibility and supervision ratios. It helps match records across rosters, medical notes, and wristbands.

  2. Who is the parent or legal guardian, and what are the best emergency phone numbers?

    Accurate contacts enable quick decisions and coordination if plans change. Multiple numbers reduce delays during injuries or evacuations.

  3. Does the participant have any medical conditions, allergies, dietary restrictions, or medications we must manage?

    Clear health details guide staff on precautions and safe activity assignments. Written instructions reduce errors and support timely care.

  4. Do you authorize trained staff to provide first aid and to seek emergency treatment if we cannot reach you?

    This consent speeds care when minutes matter and clarifies your expectations. It also pairs well with the Release of liability form to cover duty of care and permissions.

  5. Do you acknowledge the risks of activities listed (for example, swimming, hiking, and contact sports) and agree to a liability release?

    A clear assumption-of-risk statement reduces disputes and sets boundaries for safe conduct. It shows you reviewed specific hazards before attendance.

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